Disease Management Specialist, Cape Town

Last update 2024-02-29
Expires 2024-03-29
ID #2021761048
Disease Management Specialist, Cape Town
South Africa, Western Cape, Cape Town,
Modified February 7, 2024


Job Title
Disease Management Specialist
Position Purpose
To provide information, advice and explanations on clinical outcomes or systems of a complex clinical nature or to resolve complicated
process challenges. To ensure the effective use of the relevant healthcare benefits and system to optimise targeted communication
interventions telephonically and digitally, according to the clinical guidelines to ensure the GEMS disease management outcomes are achieved.
Minimum 5 years managed healthcare experience. Comprehensive knowledge of scheme rules, operational clinical process, and systems is essential.
Knowledge of internal business processes.
Relevant clinical qualification (registered nurse or pharmacist).

Continuous improvement:
Conduct comprehensive post implementation reviews and resolve user issues
Develop and present relevant and accurate support documentation
Conduct planning and prioritisation of user issues related to area of expertise and in line with business priorities
Implement practical solutions that use the specialist and departmental systems and processes
Provide specialist input and recommendations to improve the efficiency, compliance and quality objectives related to the area of specialisation
Identify problems and develop and propose solutions to present to appropriate leader or stakeholders
Ensure day to day operational support required from area of specialisation is provided to enhance performance

Job details:

Job type: Full time
Contract type: Permanent
Salary type: Monthly
Occupation: Disease management specialist

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